Sample Temporary Assessment Notice

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IEIRD Number: 4 - ORANGE SEC.

13
Republic of the Philippines
Department of Finance
BUREAU OF CUSTOMS
TEMPORARY ASSESSMENT NOTICE
Customs Office: Manila Intl Container Port
Identification of the declaration
Ref - REGISTRATION ASSESSMENT Nbr of
Model Year Number Date Year Number Day/Mth Items
4 4 2023 C 127050 2023-04-18 5

Declarant: 460466533000 JORGE CARLO ESPIRITU CADIZ


4506 MALVAR ST. DONGALO

PARANAQUE CITY 1700


Reference: ZT2J3041802
Importer: 239381356000 RAQUEL-ABBAS PHARMACEUTICALS AND GE
NERAL MERCHANDISE/NO.17 MADRE ISABE
LLA DI ROCIS ST. MULTINATIONAL VILL
PARANAQUE CITY 1708

Mode of Payment Account Number


CASH 010533457-0002448

Receipt number and date Statement number and date

CUD 39,384.14
VAT 100,772.52

Total Items taxes 140,156.66


IPF 1,000.00

CSF 276.00

CDS 250.00
IRS 30.00
Total global taxes 1,556.00
Total assessed amount for the declaration 141,712.66
Amount currently to be paid
This temporary Assessment Notice provides advice to the declarant of the entry
number assigned to the declaration encoded. This document is of a temporary in
nature. The final Assessment Notice will be issued by BOC Staff.

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